The holder whose full name is O'Dea, Patrick John,come from South Bend IN,hold the Physician license(NO.01023960A) which status is Inactive.
| Name | O'Dea, Patrick John |
|---|---|
| License Number | 01023960A |
| License Type | Physician |
| License Status | Inactive |
| City | South Bend |
| State | IN |